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Understanding perspectives on major system change: A comparative case study of public engagement and the implementation of urgent and emergency care system reconfiguration

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  • Foley, Conor
  • Droog, Elsa
  • Healy, Orla
  • McHugh, Sheena
  • Buckley, Claire
  • Browne, John Patrick

Abstract

Major changes have been made to how emergency care services are configured in several regions in the Republic of Ireland. This study investigated the hypothesis that engagement activities undertaken prior to these changes influenced stakeholder perspectives on the proposed changes and impacted on the success of implementation.

Suggested Citation

  • Foley, Conor & Droog, Elsa & Healy, Orla & McHugh, Sheena & Buckley, Claire & Browne, John Patrick, 2017. "Understanding perspectives on major system change: A comparative case study of public engagement and the implementation of urgent and emergency care system reconfiguration," Health Policy, Elsevier, vol. 121(7), pages 800-808.
    • Handle: RePEc:eee:hepoli:v:121:y:2017:i:7:p:800-808
    DOI: 10.1016/j.healthpol.2017.05.009
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    References listed on IDEAS

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    2. Fulop, Naomi & Walters, Rhiannon & 6, Perri & Spurgeon, Peter, 2012. "Implementing changes to hospital services: Factors influencing the process and ‘results’ of reconfiguration," Health Policy, Elsevier, vol. 104(2), pages 128-135.
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    6. Barratt, Helen & Harrison, David A. & Raine, Rosalind & Fulop, Naomi J., 2015. "Factors that influence the way local communities respond to consultation processes about major service change: A qualitative study," Health Policy, Elsevier, vol. 119(9), pages 1210-1217.
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    Cited by:

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    2. Fredriksson, Mio & Moberg, Linda, 2020. "Awareness and opinions on healthcare decommissioning in a Swedish region," Health Policy, Elsevier, vol. 124(9), pages 991-997.
    3. Baier, Natalie & Geissler, Alexander & Bech, Mickael & Bernstein, David & Cowling, Thomas E. & Jackson, Terri & van Manen, Johan & Rudkjøbing, Andreas & Quentin, Wilm, 2019. "Emergency and urgent care systems in Australia, Denmark, England, France, Germany and the Netherlands – Analyzing organization, payment and reforms," Health Policy, Elsevier, vol. 123(1), pages 1-10.
    4. Samirah Merritt-Myrick & David Harris III, 2021. "Successful Billing Strategies in the Hospital Industry," International Journal of Human Resource Studies, Macrothink Institute, vol. 11(1), pages 85115-85115, December.
    5. Youness Frichi & Fouad Jawab & Said Boutahari, 2019. "The Mixed-Method 5W2D Approach for Health System Stakeholders Analysis in Quality of Care: An Application to the Moroccan Context," IJERPH, MDPI, vol. 16(16), pages 1-25, August.
    6. Kathy Eljiz & David Greenfield & Alison Derrett & Simon Radmore, 2019. "Health system redesign: Changing thoughts, values, and behaviours for the co‐production of a safety culture," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(4), pages 1477-1484, October.
    7. Niccol? Persiani & Martina Giusti & Maria Jose Caldes & Afef Hagi, 2022. "Il contributo del management alla definizione della strategia di decentramento del Servizio Sanitario: il caso del Servizio Sanitario Tunisino," MECOSAN, FrancoAngeli Editore, vol. 2022(122), pages 85-103.
    8. McHugh, Sheena & Droog, E. & Foley, Conor & Boyce, M. & Healy, O. & Browne, J.P., 2019. "Understanding the impetus for major systems change: A multiple case study of decisions and non-decisions to reconfigure emergency and urgent care services," Health Policy, Elsevier, vol. 123(8), pages 728-736.
    9. Djellouli, Nehla & Jones, Lorelei & Barratt, Helen & Ramsay, Angus I.G. & Towndrow, Steven & Oliver, Sandy, 2019. "Involving the public in decision-making about large-scale changes to health services: A scoping review," Health Policy, Elsevier, vol. 123(7), pages 635-645.
    10. Stewart, Ellen & Ercia, Angelo & Greer, Scott L. & Donnelly, Peter D., 2020. "Between a rock and a hard place: Comparing arms’ length bodies for public involvement in healthcare across the UK," Health Policy, Elsevier, vol. 124(4), pages 454-461.

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